Individual
SARA COSTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1211 VIRGINIA ST, GREENSBORO, NC 27401-1313
(336) 275-0927
Mailing address
7000 EQUESTRIAN TRL, SUMMERFIELD, NC 27358-9765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P16920
NC
2251X0800X
Orthopedic Physical Therapist
Primary
P16920
NC
Other
Enumeration date
10/25/2022
Last updated
02/28/2024
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